Provider Demographics
NPI:1912190687
Name:KROL, LORI ANN (LPC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:KROL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E WALLACE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-2438
Mailing Address - Country:US
Mailing Address - Phone:724-654-9555
Mailing Address - Fax:724-654-9555
Practice Address - Street 1:318 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3626
Practice Address - Country:US
Practice Address - Phone:724-654-9555
Practice Address - Fax:724-654-9555
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional